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BP13410Blair Building Permit-Detail' l IFk �31� cn,gr :., i49 "II Permit #: 13410 Issued: 4/5/2010 Type: Decks - All types Completed: 4/22/2010 Valuation: 4050 Location: 1508 Oak Dr Owner: Mitch Jones (Holding 50.00 deposit) Permit Fee: 96 Address: 1508 Oak Dr Issue Fee: 25 Deposit Amt.: 50 Blair, NE 68008 Receipt #: 26483 Phone: 402 426 5779 Section: Township: Range: Subdivision: Lot: 10 Block: 9x18 deck off rear of house 7' off of ground. Holding a 50.00 deposit. Contractors Gordy Ray Construction General Contractor Permit # Issued Remarks 4/7/2010 BMP Holding a 50.00 deposit until 7/7/2010 Inspections Date By 4/9/2010 HOW Footings Pass 4/22/2010 HOW Final Inspection of Project Pass Site Plan Attached: PLIOTDING PERMIT Approximate Completion Date: sb //(-) REScheck Attached: Complete Plans Attached Application for: Residential Commercial/Industrial New Construction Manufactured Home Modular Move -on: Home Accessory Building Other Remodel Addition Accessory Building: Garage Pole Barn Other Floor Type: Dirt Concrete Electricity: Yes o Sign Erecting, Awnings Decks/Handicap Ramps (plot pian required) Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) Other Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement needed: Date Agreement Received: Public Sewer: Yes No Septic Drawing Provided: If yes, responsible entity: Blair Kennard County Road Permit Required: Yes No Submitted: Yes No Description of project if n cessary: i< Project Information: r Job Address: Legal Description (if applicable) L -o 113 Rc % b h l1 ✓ Owner: K -3 C) tCNes Address: Contractor: Address: 2.9 23 'pct ,� cu- La -At Phone#: Phone #:LLS Cell #: ES3-06GE Email Address for Contractor: Cel f a A =(�`�t -11 � CJhocl , corf\ Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 1180 days is not completed �within �two (2) years of date of issue. gnature of Owner/Contrtor Date For Building Permits other than One & Two Family Residential Structures: I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for Review. Signature of Owner/Contractor Date ZONING REVIEW: Zoning/Flood Plain/Utilities: Current Zoning: V.Conditional Use Permit Required: Yes No ,- Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front Second Front Side Side -4__Rear ' Lot Sauare Footage: Length x Width: Lot Coverage % Driveways/Sidewalks: Sidewalk required: Yes No Sidewalk Waiver: Yes No Date Waiver Approved: Preexisting Garage requires driveway to be less than 3' from property line: Yes Approved by: Flood Plain: Yes No If yes, specify special requirements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four Type of Residential Structure: Ranch Two Story Split Entry _ Rooms Bedrooms Bathrooms >Four High Rise (>75 ft) Raised Ranch Other Fireplaces Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes Sleeping Rooms Living Area Other Egress Sauare Footage: M Main Level: Second Level: Third Level Basement: (Unfinished) (Finished) Garage: 2 bay 3 bay 4 bay 5+ bay Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Side Occunancv Classification: Assembly, theaters, with stage Assembly, theater, without stage Assembly, nightclubs Assembly, restaurants, bars, banquet halls Assembly, churches Assembly, arenas Assembly, general, community halls, libraries, museums Business Educational Factory and industrial, moderate hazard Factory and industrial, low hazard High Hazard, explosives (section continued on next page) AAML. - 1YCVV %julValnuk,IIVINI 1AUU1IIVIV01 r(CIVIVUCLJ: Business/Industrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the following: Accessory Buildings & Interior Remodeling Projects: sq/ft area X $43 Pole barns with no hard surfac loor: sq/ft area X $25 Sign Erecting/Awnings a ck-,,AHandicapamps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: Finished sq/ft area X $ Z5 $ 050 °U Construction valuation is ...................................Permit fee is: $0 TO$50...........................................................$0 $51 TO $500 ........................................................ $25 $501 TO $2,000........................................................$25 + $3 per additional $100 $2,001 TO $25,000........................................................$70 + $13 per additional $1,000 $25,001 TO $50,000......................................................$370 + $10 per additional $1,000 $50,001 TO $100,000......................................................$620 + $7 per additional $1,000 $100,001 TO $500,000......................................................$970 + $5 per additional $1,000 $500,001 TO$1,000,000.................................................. $2,970 + $4 per additional $1,000 $1,000,001 AND OVER..................................................$4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ LO •®O Issuance Fee: $ 25.00 /2 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Additional Comments: Approved b : .��7,�� pp y Date: i Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to. Building Inspection Pouch given: Yes No High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous _ Is building required to be protected by automatic fire sprinkler system?" No Only partially in some areas or rooms Please Specify Yes If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: 20% grade or less? Yes No (Dale will review new residential construction. Al will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: Building Permit Deposit Fee: Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 Residential -add itions%remodels/accessory buildings valued under $10,000 $ Fee = $200.00 All other permits Fee = $50.00 $ RESIDENTIAL - NEW CONSTRUCTION: Permit fee is: Finished sq/ft area X $92 $ (not including finished basement area) Finished basement sq/ft area X$56 $ Unfinished basement sq/ft area X $29 $ Garage sq/ft area X $25 $ Total Valuation: $ Total Valuation Multiplied by 0.006 = $ Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CITY, STATE, ZIP CODE THANK YOU KEEPTHIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair. NE 68008 n rzn�m °° o c g!,m cn W IV m o v x �Promisa°Pae CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit # 1 Sy Date: 41 S Approximate Completion Date: S b //(-) Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential Commercial/Industrial New Construction Manufactured Home Modular Move -on: Home Accessory Building Other Remodel Addition Accessory Building: Garage Pole Barn Other Floor Type: Dirt Concrete Electricity: Yes o Sign Erecting, Awnings Decks/Handicap Ramps (plot pian required) Satellite Dishes/Radio Antenna/Cell Towers (p►otpian required) Other Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement needed: Date Agreement Received: Public Sewer: Yes No Septic Drawing Provided: If yes, responsible entity: Blair Kennard Cdunty Road Permit Required: Yes No Submitted: Yes No Description of project if necessary: q X 1 � ecX_ C EfCkr ,\6use - -I ' 0-4 01(0utrn Project Information: �0 g d K J� ► �� Job Address: � Co C�� Legal. Description (if applicable) Lat I �} �� �$ 0►1 5 }�dCt ( 01 1 II Owner: I (C% 3-C) f\eS Address: Contractor: Phone#: Phone #LLO 0 lir:�7_7 � Address: 29 23 k-l(A L� �e- Cell #: Email Address for Contractor: 0 (a(A = c �� {1 l � L (A a_ 1rbo . Cam Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 daysf is not completed %within two (2) years of date of issue. gnature of Owner/Controttor Date For Building Permits other than One & Two Family Residential Structures: I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for Review. Signature of Owner/Contractor Date Wit ISI NI unit - BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being collected for any new commercial, new residential, and any additions, remodels and accessory building valued $10,000 or greater at the time of your building permit application. A $200.00 refundable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. (A$50.00 fundable deposit is being collected for all misc. permits. IThe_ City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water service by the plumber, owner or general contractor. 2) All permits have not been obtained. 3) All required inspections have not been obtained. 4) Occupancy occurs prior to a final inspection. 5) The project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit. hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/Owner Date Contractor/Owner City of Blair 0 CITY OF BLAIR LOCATION OF INSPECTION:. NAME OF REPORTBUILDING INSPECTION ❑ WASHINGTON COUNTY ❑ DATE INSPECTION REQUESTED _ TIME INSPECTION REQUESTED '' ° •PERMIT NO TYPE OF INSPECTION REQUESTED ❑ CONFERENCE ❑ STATUS CHECK 7- BUILDING: "Q7 --'FOOTING FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL [:1 FINAL El PARTIAL PASSED FAILED ❑ COMMENTS: UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC L❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED F] PARTIAL ❑ F1COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL F] ❑ COMMENTS: MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED ❑ ❑ COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED F] PRESSURE TEST El ElCOMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR: DATE OF INSPECTION MADE: vr7- � Tm / C_ j 0 FAXED OPPD\BURT REA TO CONNECT SERVICE: YV. CITY OF BLAIR LOCATION OF INSPECTION: NAME OF OWNER• ❑ WASHINGTON COUNTY ❑ OTHER I s�r DATE INSPECTION REQUESTED• P L . x" TIME INSPECTION REQUESTED- Yll PERMIT NO: TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑, FINAL ❑ PARTIAL PASSED FAILED COMMENTS: 9 -- �2 r� n �� S ❑ UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: ELECTRICAL: ❑ ROUGH IN ❑ FINAL ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PASSED FAILED ❑ PARTIAL ❑ ❑ COMMENTS: MECHANICAL: ❑ ROUGH IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED FAILED COMMENTS: PLUMBING: ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PASSED FAILED ❑ PRESSURE TEST ❑ ❑ COMMENTS: ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED INSPECTORI DATE OF INSPECTION MADE: `_ 0 TIME- a 3, FAXED OPPD\BURT REA TO CONNECT SERVICE: ON - BY ��_- . ,> ,,. . `aH: � 'M1i.